Risk Adjustment and the HCC Reset | Medicare Risk Adjustment Mini Series
Автор: Appelberg Help4Docs
Загружено: 2026-02-18
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Risk Adjustment and HCC Reset: What It Means for Medicare Advantage: This video is part of our Medicare Risk Adjustment Audit Readiness mini series.
In this episode, we focus on the HCC reset and its impact on Medicare Risk Adjustment. As CMS continues to refine risk adjustment models, organizations are facing changes in how conditions are captured, documented, and audited. These changes directly affect reimbursement, audit exposure, and compliance expectations.
We discuss:
What the HCC reset is and why it matters
How changes to HCC models affect risk adjustment coding
Why documentation accuracy is increasingly important
How the reset contributes to higher audit risk
What organizations should be thinking about now to stay prepared
This discussion is intended for healthcare leaders, compliance teams, coding professionals, and others involved in Medicare Risk Adjustment oversight.
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